NPIMap

Individual provider Active NPI

Nabil Karim Abudayeh, MD

  • Internal Medicine Physician
  • Castro Valley, CA
National Provider Identifier
1699724484
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G059072 Issued in CA
Practice address
20700 Lake Chabot Road
Ste 107
Castro Valley, CA 94546-5402
Phone
(510) 886-6878
Fax
(510) 886-0268
NPI assigned
May 9, 2006
Last updated
Nov 7, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G059072 CA Primary

Addresses

Primary practice location

20700 Lake Chabot Road
Ste 107
Castro Valley, CA 94546-5402

Mailing address

20700 Lake Chabot Road
Ste 107
Castro Valley, CA 94546-5402
Phone (510) 886-6878

Other identifiers 2

IdentifierTypeStateIssuer
00G590720MedicaidCA
110245276OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040413001206 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1951395854 Reassigns benefits to 2 organizations
Practice locations: Castro Valley, CA; Livermore, CA; Walnut Creek, CA

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Chicago College of Medicine and Surgery, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Cardiovascular Medical Associates IncGroup PAC ID 5496796625, 2 clinicians
Nabil K Abudayeh M D Professional CorporationGroup PAC ID 3971699455, 2 clinicians

Practice addresses (Care Compare)

1022 Murrieta Blvd
Livermore, CA 94550-4111
Phone (925) 961-8920

20700 Lake Chabot Rd
Suite 107
Castro Valley, CA 94546-5402
Phone (510) 886-6878

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G059072CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Nabil Abudayeh Current Accepting new patients
Advanced Cardiovascular Medical Associates Inc. CurrentSince Jan 1, 2000 Accepting new patients
Nabil K Abudayeh MD Professional Corporation CurrentSince Dec 7, 2017 Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
Sequoia Health Services Past Accepting new patients
John Muir Health Past Accepting new patients
Eden Medical Center/San Leandro Hospital Campus Past Accepting new patients
John Muir Health Past Accepting new patients
San Ramon Regional Medical Center, LLC Past Accepting new patients

Locations

20700 Lake Chabot Rd
Ste 107
Castro Valley, CA 94546
Phone (510) 886-5515

1022 Murrieta Blvd
Livermore, CA 94550
Phone (925) 275-1811

1210 Rossmoor Pkwy
Walnut Creek, CA 94595
Phone (925) 299-9022

1220 Rossmoor Pkwy
Walnut Creek, CA 94595
Phone (925) 947-3393

Interoperability endpoints

  • Direct secure messaging: nabudayeh141658@hisp.ehr.sutterhealth.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Windsor Post- Acute Care Center of HaywardHayward, CA, CCN 555398 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 1, 2024
Dec 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478476800000",
    "number": "1699724484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20700 LAKE CHABOT ROAD",
            "address_2": "STE 107",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465402",
            "telephone_number": "510-886-6878",
            "fax_number": "510-886-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20700 LAKE CHABOT ROAD",
            "address_2": "STE 107",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465402",
            "telephone_number": "510-886-6878",
            "fax_number": "510-886-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUDAYEH",
        "first_name": "NABIL",
        "middle_name": "KARIM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2016-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G059072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G590720",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110245276",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

Verify at the official NPI Registry.